The Programs We’ve Identified Are Linked Below

Programs identified as having the most credible evidence of effectiveness, based on careful review in consultation with outside experts, are categorized as “Top Tier” or “Near Top Tier” (see sidebar for definitions). The other listed programs have been found promising but not yet Top Tier or Near Top Tier due to study limitations (such as only short-term follow-up) that underscore the need for additional testing prior to larger-scale implementation. As a nonprofit philanthropic foundation, we receive no financial benefit from any program, enabling us to serve as an impartial reviewer of the evidence.

Top Tier Transitional Care Model (A nurse-led hospital discharge and home follow-up program for chronically ill older adults): Randomized controlled trials show major reductions in rehospitalizations and net savings in health care expenditures.

Near Top Tier Healthy Living Partnerships to Prevent Diabetes (HELP PD) (A community-based lifestyle weight-loss program for overweight or obese adults with prediabetes): Randomized controlled trial shows effects on weight and other diabetes risk factors over two years.

Care Transitions Program (Low-cost hospital discharge and home follow-up program for elderly patients): Randomized controlled trials show sizable reductions in rehospitalizations and health care costs.